| Premiercare Physicians A California General Partnership | |
|
1470 Bessie Ave Tracy CA 95376-3417 | |
| (209) 883-0525 | |
| Not Available |
| Full Name | Premiercare Physicians A California General Partnership |
|---|---|
| Speciality | Family Medicine |
| Location | 1470 Bessie Ave, Tracy, California |
| Authorized Official Name and Position | Sunil H Patel (OWNER / PARTNER) |
| Authorized Official Contact | 2098830525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiercare Physicians A California General Partnership 1470 Bessie Ave Tracy CA 95376-3417 Ph: (209) 883-0525 | Premiercare Physicians A California General Partnership 1470 Bessie Ave Tracy CA 95376-3417 Ph: (209) 883-0525 |
| NPI Number | 1871139485 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 01/14/2020 |
| Medicare PECOS PAC ID | 5799113031 |
|---|---|
| Medicare Enrollment ID | O20200319001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871139485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shital C Hubli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053339127 PECOS PAC ID: 4183610223 Enrollment ID: I20040422001656 |
| Provider Name | Sunil H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730150848 PECOS PAC ID: 6901817246 Enrollment ID: I20060525000177 |
| Provider Name | Neel Kg Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194056796 PECOS PAC ID: 8426173717 Enrollment ID: I20100909000801 |
| Provider Name | Pranjalkumar H Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225233133 PECOS PAC ID: 4688741283 Enrollment ID: I20110829000054 |
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